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Title: Life course socioeconomic conditions and frailty at older ages
Authors : van der Linden, Bernadette Wilhelmina Antonia
Cheval, Boris
Sieber, Stefan
Orsholits, Dan
Guessous, Idris
Stringhini, Silvia
Gabriel, Rainer
Aartsen, Marja
Blane, David
Courvoisier, Delphine
Burton-Jeangros, Claudine
Kliegel, Matthias
Cullati, Stéphane
Published in : The Journals of Gerontology : Series B
Publisher / Ed. Institution : Oxford University Press
Issue Date: 2019
License (according to publishing contract) : CC BY-NC 4.0: Attribution - Non commercial 4.0 International
Type of review: Peer review (Publication)
Language : English
Subject (DDC) : 305: Social groups
Abstract: Objectives This paper aimed to assess associations of childhood socioeconomic conditions (CSC) with the risk of frailty in old age and whether adulthood socioeconomic conditions (ASC) influence this association. Methods Data from 21 185 individuals aged 50 years and older included in the longitudinal Survey of Health, Ageing, and Retirement in Europe were used. Frailty was operationalized as a sum of presenting weakness, shrinking, exhaustion, slowness, or low activity. Confounder-adjusted multilevel logistic regression models were used to analyze associations of CSC and ASC with frailty. Results While disadvantaged CSC was associated with higher odds of (pre-)frailty in women and men (OR=1.73, 95%CI 1.34, 2.24; OR=1.84, 95%CI 1.27, 2.66, respectively), this association was mediated by ASC. Personal factors and demographics, such as birth cohort, chronic conditions and difficulties with activities of daily living, increased the odds of being (pre-)frail. Discussion Findings suggest that CSC are associated with frailty at old age. However, when taking into account ASC, this association no longer persists. The results show the importance of improving socioeconomic conditions over the whole life course in order to reduce health inequalities in old age.
Departement: Social Work
Organisational Unit: Institute of Diversity and Social Integration (IVGT)
Publication type: Article in scientific Journal
DOI : 10.1093/geronb/gbz018
ISSN: 1079-5014
Appears in Collections:Publikationen Soziale Arbeit

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